Community Health Equity & Promotion (CHEP): Supporting Health Equity in the Tenderloin Neighborhood

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1 Community Health Equity & Promotion (CHEP): Supporting Health Equity in the Tenderloin Neighborhood Tracey Packer, MPH Director, CHEP Branch Population Health Division San Francisco Department of Public Health September 20, 2016

2 Presentation Overview 2 Overview of CHEP Branch program areas and performance measures In-depth look at CHEP efforts aimed to improve health in the Tenderloin neighborhood

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6 Alignment of CHEP Program Areas with DPH initiatives 6 Community- Based HIV Prevention Community- Clinical Linkages Community- Based STD Prevention Safe & Healthy Environments Through community engagement, improve health and ensure health equity Drug User Health Initiative Community Engagement Chronic Disease Prevention

7 CHEP Programs Community & Home Injury Prevention Program for Seniors (CHIPPS) HIV Prevention Hepatitis C Prevention & Elimination Community STD Engagement Newcomers Health Program (NHP) Community Health Equity & Promotion Tobacco Free Project (TFP) Pedestrian Safety Substance User Health Healthy Hearts SF Safe & Healthy Environments 7 HIV Health Education & Risk Reduction (HERR) Community-based STD and HIV testing Newcomers CONNECT Cessation Services and Systems Integration Safe Routes to School Syringe access & disposal Shape Up SF (SUSF) Prevention with Positives (PWP) Venue-based STD outreach Community Action Model (CAM) training & technical assistance Safe Streets for Seniors Drug User Health Initiative Bayview HEAL Zone HIV Community Planning Council (HCPC) Street-based STD outreach Tobacco Free Coalition Vision Zero Rethink Your Drink Condom distribution YUTHE (Youth United Through Health Education) STD program Policy, Systems, and Environment Physical Education (PE) Advocates SUSF Coalition District 10 Wellness Collaborative Deemed Approved Uses Ordinance (DAO) Healthy Retail SF

8 CHEP Performance Measures: Examples 8 Collective Impact Level: HCV Increased # screened and # initiating primary care-based treatment Branch Level: Black/African American Health Increased % of CHEP programs that intentionally address Black/African American health disparities Program Area Level: STD Prevention Increased # of venue-based chlamydia, gonorrhea, and syphilis tests among men who have sex with men Individual Program Level: Newcomers Health Program Increased % of health insurance enrollment of newly documented refugees and asylees in SF

9 Hepatitis C Increased # screened and # initiating primary care-based treatment 9 2,150 people screened for HCV since 2014* Target: 3,318 by the end of patients initiating primary carebased HCV treatment to date** Target: 360 by the end of (thru March) 0 <= (thru May) # tested per year Cumulative # tested # treated per year Cumulative # treated *Glide, St. James Infirmary, SF AIDS Foundation, ZSFG Opiate Treatment Outpatient Program, Westside, BAART Market & Turk, Bayview Hunters Point Foundation **Data currently reflects Tom Waddell Urban Health Clinic, Positive Health Program, Southeast Health Center. More clinics to be added as data becomes available.

10 Black/African American Health Increased % of CHEP programs that intentionally address Black/African American health disparities 10 Black/African American Health Disparities: CHEP Program Assessment Assessment Domains: Program elements Data Program locations Community input Customer/Client satisfaction Organizational partners Capacity-building Participant involvement in services/activities Cultural humility Program staffing Domain Examples Program Self Rating Description of How the Program Addresses This Domain (or justification for why it s not relevant) Program Elements YUTHE Tobacco Free Project smoking cessation Data Pedestrian safety data HIV behavioral surveillance data Program locations Food Guardians District 10 Wellness Collaborative 0 No or N/A 1 Could be improved 2 Sufficient 0 No or N/A 1 Could be improved 2 Sufficient 0 No or N/A 1 Could be improved 2 Sufficient

11 STD Prevention Increased # of venue-based chlamydia, gonorrhea, and syphilis tests among men who have sex with men Chlamydia & Gonorrhea Syphilis

12 Newcomers Health Program Increased % of health insurance enrollment of newly documented refugees and asylees in SF % Percent of Refugee and Asylee Referrals Enrolled in Health Insurance/Primary Care [280 of 444] 60.00% [251 of 429] 50.00% [243 of 484] 40.00% 30.00% 20.00% 10.00% 0.00% 2011/ / /14

13 Some of Our Customers in the Tenderloin 13 Corner Stores SFPD TL Neighborhood Association SFUSD schools SFHN Community Partners Community based organizations People with and at risk for HIV and STDs Patients & Clients Workers in massage establishments & restaurants People who inject drugs Low income Black/African American and Latino communities Pedestrians

14 An Example of How We Work: Collaboration for Collective Impact 14 Corner Stores Deemed Approved Ordinance Reduce the negative impact of alcohol use Residents CHEP SFPD SFUSD schools TL Neighborhood Associations Safe Routes to School Syringe Access & Disposal Increase physical activity Improve access to services Children & families Substance users These efforts contribute to: Reduced alcohol-related harms, reduced chronic disease, reduced HIV and HCV transmission

15 CHEP Working for Health Equity in the Tenderloin 15 Vision Zero Healthy Retail SF Deemed Approved Ordinance Tobacco Free Project Syringe Access & Disposal HIV, HCV, and STD testing and much more

16 16 Thank you Thanks to: Patricia Erwin, Deputy Director Jacqueline McCright, Deputy Director Dara Geckeler, Integration and QI Coordinator CHEP Branch and DPH Leadership